| NPI | 1336433283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SMITH Occupational Therapist 2095-234-8745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA OT534) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |